Individual
LENA MARIE AYALA-MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
18324 ASHLAND AVE, HOMEWOOD, IL 60430-3403
(224) 801-1717
(888) 874-9552
Mailing address
7604 TAPPER AVE, HAMMOND, IN 46324-3021
(219) 218-8114
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-27703
—
Other
Enumeration date
12/01/2017
Last updated
03/17/2018
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